| NPI | 1083800858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAESAR ROSS Director 843-349-6543 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS1000X Clinic/Center, Student Health (Licence: SC 27353) |
| Enumeration Date | 2007-09-14 |
| Last Update Date | 2007-09-14 |